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Licensing details for: 17293

Name: IMAGE ORTHODONTICS-DENTAL PRACTICE OF YAN KALIKA DENTAL CORPORATION.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: IMAGE ORTHODONTICS, PRACTICE OF YAN KALIKA DENTAL CORPORATION

Address of Record

582 CENTER AVE
MARTINEZ CA 94553
CONTRA COSTA county
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Practice Location

582 CENTER AVE
MARTINEZ CA 94553-4600
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Issuance Date

August 19, 2022

Expiration Date

April 30, 2026

Current Date / Time

June 6, 2025
7:12:5 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: KALIKA, YAN

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: KALIKA, YAN

License/Registration Type: Dentist License

License Number: 45886 Primary Status: Current - Active

Address :
3075 Beacon Blvd
WEST SACRAMENTO CA 95691-3462
SACRAMENTO COUNTY

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